Individual provider · Type 1 NPI

Ileola Miriam Allen-Jamison

Developmental Disabilities Clinic/Center · Newark, NJ

NPI number 1457107906 Active

Practice location

109-119 Broad St #308
Newark, NJ 07104

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant 126800000X22DP00585400 (NJ)
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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About NPI 1457107906

Ileola Miriam Allen-Jamison's National Provider Identifier is 1457107906, issued on Apr 25, 2024. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Newark, NJ. The record was last updated on May 8, 2024.